Active NPI
Spring Elaine Cornavaca, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN169392
- Practice address
- 975 E. Third Street
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7608
- Fax
- (423) 778-2360
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN169392 | GA | |
| Registered Nurse | 163W00000X | RN124955 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN169392 | GA | Primary |
Addresses
Primary practice location
975 E. Third Street
Chattanooga, TN 37403-2147
Mailing address
PO Box 11225
Chattanooga, TN 37401-2225
Phone (423) 892-5602
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4156966 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| P00430484 | Other | RAILROAD MEDICARE | |
| N356383 | Other | GA | WELLCARE (GA MEDICAID) |
| 009911539 | Medicaid | AL | |
| 8052759 | Medicaid | NC | |
| 3638075 | Medicaid | TN | |
| 453654394A | Medicaid | GA |
Other names 1
- Spring Elaine Wildman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011
705 Jesse Jewell Pkwy SE
Suite 125
Gainesville, GA 30501-3824
Phone (678) 207-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.38 of 100
- Quality
- 77.5
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169392 | GA | MD | Registered Nurse |
| RN124955 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lunate Surgery Center | Current | Accepting new patients | |
| Ahs Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Eye Surgery Center, LLC | Past | Accepting new patients | |
| Carpus Surgery Center LLC | Past | Accepting new patients | |
| Ulna Surgery Center LLC | Past | Accepting new patients | |
| Buford Eye Surgery Center | Past | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients | |
| Ahs Surgery Center Canton LLC | Past | Accepting new patients | |
| Roswell Eye Surgery Center, LLC | Past | Accepting new patients |
Locations (25 of 30)
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008
195 King Ave
Athens, GA 30606
Phone (706) 543-6261
1500 Oglethorpe Ave
Ste 500B
Athens, GA 30606
Phone (706) 548-5833
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125
201 Kimberly Way
Ste 100
Canton, GA 30114
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020
1240 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 534-9420
705 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 532-9639
2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490
1101 Old Philadelphia Rd
Ste G200
Jasper, GA 30143
Phone (205) 422-5189
10730 Medlock Bridge Rd
Ste 210
Johns Creek, GA 30097
600 Professional Dr
Ste 150
Lawrenceville, GA 30046
Phone (678) 376-1800
4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100
488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075
3775 Roswell Rd
Ste 275
Marietta, GA 30062
34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094
6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328
5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Smyrna, GA
- NPI 1316214604
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1942563242
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Sandy Springs, GA
- NPI 1932709490
-
- Certified Registered Nurse Anesthetist
- Cumming, GA
- NPI 1487928370
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1225457948
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1215949326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11225",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374012225",
"telephone_number": "423-892-5602",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E. THIRD STREET",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7608",
"fax_number": "423-778-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNAVACA",
"first_name": "SPRING",
"middle_name": "ELAINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN169392",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN124955",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN169392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TN",
"identifier": "4156966",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00430484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE (GA MEDICAID)",
"identifier": "N356383",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911539",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052759",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3638075",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453654394A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SPRING",
"last_name": "WILDMAN",
"middle_name": "ELAINE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.